Sunday, September 16, 2012



For SALE !!!

Brand new Litmann II SE blue for sale for only RM200.
Email me if interested : thienthienlim@gmail.com


Thursday, March 15, 2012

MRCP PACES

Please look at this patient's tongue and proceed with the examination.

What would you do next and what are your differential diagnosis ?


Friday, February 17, 2012

MCQ for medical students and MRCP Part 1 or 2a

A 35 years old Malay lady presented with weakness of the legs when climbing stairs over the past 2 weeks. She has had no previous illness and are not on any medications. When she came to the outpatient clinic, you noted the above findings. Which of the following is true regarding the patient.

A. A DMARDs should be started immediately
B. The patient need to be counseled regarding risk of similar illness in her siblings and future offsprings
C. The lesions in the picture is a violaceous rash which would be very itchy
D. Intralesional triamcinolone would be part of the treatment
E. This patient would need steroids

Thursday, February 16, 2012

Experience from a recent candidate in Singapore MRCP PACES exam

As he enters the room of the Neurology station in the Singapore exam in TTSH, he was given a patient who has resting tremors, bradykinesia and rigidity......the diagnosis was obvious- Parkinson disease.
However, he was asked by the examiner.....what do you think is this on the patient ?

How would you answer the examiner ?

Tuesday, February 14, 2012

MCQ for medical students and MRCP Part 1 or 2a

A 73 years old Chinese lady came to you in the outpatient complaining of chronic pain over the joints of the hands. All the following are true except :

A. the knees and the cervical region may have similar problem
B. the first line of pain relief medication is paracetamol
C. Leflunamide is one of the treatment as a DMARDs
D. The PIP involvement is called Bouchard's nodes
E. The DIP involvement is called Herberden's nodes